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Effect of Group Art Intervention On Clinical Symptoms and Cognitive Functions in Female Patients with Schizophrenia

Published online by Cambridge University Press:  15 April 2020

D. Nagui Rizk ,
S. Darwish ,
I. Cover ,
A.H. Radwan  and
M. Esmail
D. Nagui Rizk
Affiliation:
Neuropsychiatry, El Hadara University Hospital, Alexandria, Egypt
S. Darwish
Affiliation:
Psychiatry, Mamoura Mental State Hospital, Alexandria, Egypt
I. Cover
Affiliation:
Anthropology, Rovira i Virgili University, Tarragona, Spain
A.H. Radwan
Affiliation:
Clincial Psychology, El Abbassia Mental State Hospital, Cairo, Egypt
M. Esmail
Affiliation:
Psychology, Faculty of Art Alexandria University, Alexandria, Egypt

Abstract

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Introduction

Schizophrenia can impair functioning and have serious individual and societal impact. Non-adherence rate to anti-psychotics is high due to side effects, raising the importance of adjuvant therapy. Artistic creation can help the patients expressing their illness experience and finding some order in their chaotic psychotic world.

Aim

To determine the differential effects of group art therapy on clinical symptoms and cognitive functions.

Methods
Patients

7 female patients symptomatically stable, non-substance abusing with chronic schizophrenia admitted into Mamoura Mental State Hospital in Alexandria, IQ level was determined by the Digit Span Test of Wechsler Adult Intelligence scale (WAIS) with the mean of IQ found = 89.

Intervention

  1. - Techniques taken from both art therapy and art expression provided as 24 group therapy sessions (2 sessions per week).

Outcome measures

  1. - Symptoms severity measured by the Positive and Negative Symptom Scale (PANSS)

  2. - Executive functions and set shifting measured by Wisconsin card sorting test (WCST)

  3. - Visual attention and task switching measured by the Trail making test

Results

  1. - Post treatment results showed significant decrease in PANSS sub-scales (positive p < 0.0001, negative p < 0.001, general p < 0.001, total p < 0.0001)

  2. - Also significant increase in cognitive biases in WCST (number of categories) p < 0.05 and significant decrease in WCST (failure to maintain set) p < 0.01 and trail making B test (time spent p < 0.003 and number of errors p < 0.001)

Conclusion

Symptom severity and cognitive functions in stable schizophrenia can improve when art expression and therapy are provided.

Type
Article: 0855
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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